Application form Registration of Primary / Secondary Schools.

Rules under the Karnataka Education Act 
 ( annexure-A) 
FORM NO.1 
(See Sub rule(1) of rule3) 
(Use additional sheets, annexure where ever necessary)To 

(specify here the designation and address Of Registering authority) 

Sir, 
For and on behalf of  (Specify here the name of the educational institution seeking registration). This applications is submitted for registration of the said institution under section 31 of the Karnataka Educational 
Act:1983(Karnataka Act No.1 of 1995) particular are as below :- 
1. Name and location 
 or 
Proposed name location of the institution 
2. Name and address and nature of the local authority 
 or 
Governing Council (enclose a copy of the certificate of registration, a copy of the memorandum of Association Act. Of the Society trust seed etc.) [(See2(17)]. 
3. Objectives of the Educational institution proposed to be established. 
4. Date from which the proposed institution is proposed to be started. 
5. Class or type of education institution proposed to be established (like lower primary, higher 
primary, secondary etc.) 
6. Medium of instruction proposed to be introduced. 
7. Details of preliminary formalities if any completed with the concerned 
authority/professional body/university/other athilaning agency. 
8. Details of educational Institutions established managed and administered by the local 
authority or Governing Council immediately prior to this applications. 
9. Explain the need for providing the intended educational facilities to the people in the locality 
with reference to 
(a) Size of the population in the locality 
 (As per latest census Report 
(b) Literacy percentage (c) Rules under the Karnataka Education Act 
(d) Details of other existing educational institutions in and around the locality with 
 regards to : 
(i) the distance from the proposed institution 
(ii) strength and attendance in each standard. 

(e) Details regarding feeder institutions in and around the locality with regards to 
(i) the distance from the proposed institution 
(ii) strength and average attendance in each standard. 
(iii) The names of present educational institution to which the students are admitted 
(Please also mention the distance of each institution) 

(f) Details regarding the existing habitations in the locality and their state of backwardness 
with special reference to 
(i) SC/ST category 
(ii) girls handicapped children 
(iii) minority community 
( Full factual verifiable date to be provided) 

10. Furnish the following : 
(a) Estimate of financial implications to provide infrastructures, teaching facilities, 
equipments etc., at current market prices as per the standards prescribed in the Act and 
rules. 
(b) Audited and certified latest balance sheet, income and expenditure statement. (Certified 
by a chartered accountant or such other authority which under law is competent to 
certify the accounts of the local authority/Governing Council/ [(see sec.2(7).] 
(c) Certificates from the bank to show cash balance. 
(d) Photo copy of title deeds to evidence possession of the extent of land required for 
building, playground etc. of the prescribed standards. 
(e) Blue print to evidence that building to the required extent and of the required 
specifications are available. 
(f) Statement of latest audited and certified accounts and annual report of the other annual 
report of the other educational institutions being run by the local authority or governing 
council. 
(g) Name, address, qualifications and experience of teaching staff, furnish in position. The 
qualifications prescribed bye the Govt./competent authority, concerned professional 
body, university or the assiliating authority and the number of the staff to be employed 
in each cadre. 



 Rules under the Karnataka Education Act 
(h) Copy of the resolutions of the governing council authorizing the secretary ti file this 
application. 

(i) Name full address of the correspondents/secretary cum correspondent authorized to 
carry out the correspondence with the govt/department. 
11. Name father’s name, age, qualification, address and occupation of the members of the 
governing council. 

12. Name father’s name, age, qualification, address and occupation of the members (of the 
members) of the managing Committee (See Sec.2(a)) 

13. Any other information which the applicant wishes to furnish. 
14. Amount of registration fee paid (Demand draft no & date, bank on which drawn) 
Certified that the information furnished above is true and correct to the best of my 
knowledge and belief. 

 For on behalf of 
 (Specify the name of the educational 
 institution) 
Place : Signature of the secretary 
Date : name in capital letter and 
 rubber stamp. 

DECLARATION BY THE APPLICANT INSTITUTION 
 The management of the governing council agree to (see rule 4(4) to xii for rule 4(4) 

 for on behalf 

 Signature of the Secretary 
 Name in capital letter and 
 rubberstamp.

Click here to download application form

For more details click here or visit http://www.schooleducation.kar.nic.in/ 

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